| Southcoast Psychiatric Services Inc | |
|
5301 N Federal Hwy Ste 270 Boca Raton FL 33487-4910 | |
| (561) 241-6628 | |
| (561) 241-8653 |
| Full Name | Southcoast Psychiatric Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5301 N Federal Hwy Ste 270, Boca Raton, Florida |
| Authorized Official Name and Position | Michelle Palley (OFFICE MANAGER) |
| Authorized Official Contact | 5612416628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcoast Psychiatric Services Inc 5301 N Federal Hwy Ste 270 Boca Raton FL 33487-4910 Ph: (561) 241-6628 | Southcoast Psychiatric Services Inc 5301 N Federal Hwy Ste 270 Boca Raton FL 33487-4910 Ph: (561) 241-6628 |
| NPI Number | 1316571037 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Medicare PECOS PAC ID | 2860879293 |
|---|---|
| Medicare Enrollment ID | O20220524001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316571037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Alexander Louis Scheuermann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568630291 PECOS PAC ID: 1658441068 Enrollment ID: I20080528000254 |
| Provider Name | Robert E Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245267905 PECOS PAC ID: 4486834736 Enrollment ID: I20110203001007 |
| Provider Name | Kristie Lee Deblasio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245524701 PECOS PAC ID: 5799071916 Enrollment ID: I20160914000292 |
| Provider Name | Anna Binder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952029 PECOS PAC ID: 5991889180 Enrollment ID: I20180906000952 |
| Provider Name | Brent Berman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467790865 PECOS PAC ID: 4587991294 Enrollment ID: I20190802002186 |
| Provider Name | Claude Andre Cayemitte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538774211 PECOS PAC ID: 9032526975 Enrollment ID: I20210322000762 |
| Provider Name | Brenna Squires |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104177732 PECOS PAC ID: 4587936562 Enrollment ID: I20220919000686 |
| Provider Name | Xiaorong Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891408472 PECOS PAC ID: 1658742457 Enrollment ID: I20230113000359 |
| Provider Name | Jeffrey Lebner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972216919 PECOS PAC ID: 6305218983 Enrollment ID: I20230208000134 |
| Provider Name | Connally Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700586138 PECOS PAC ID: 9931573623 Enrollment ID: I20230320002605 |
| Provider Name | Barbara Lee Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609004332 PECOS PAC ID: 0648628230 Enrollment ID: I20231120002853 |
| Provider Name | Elodie Santoro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316363229 PECOS PAC ID: 5890143432 Enrollment ID: I20231121001234 |
| Provider Name | Katharine Crowley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699016170 PECOS PAC ID: 3375991318 Enrollment ID: I20231130002788 |
| Provider Name | Jordan Elizabeth Brody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386412591 PECOS PAC ID: 7719330489 Enrollment ID: I20240129004468 |
| Provider Name | Alison Parente |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790564714 PECOS PAC ID: 4587006119 Enrollment ID: I20240528001682 |
| Provider Name | Benjamin Soto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548080724 PECOS PAC ID: 7517497100 Enrollment ID: I20250212001008 |
| Provider Name | Jessica Cima |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972078905 PECOS PAC ID: 7416487780 Enrollment ID: I20250217000758 |
| Provider Name | Karin R Witte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689835274 PECOS PAC ID: 4385164714 Enrollment ID: I20250227003780 |
| Provider Name | Nadege Barbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073049078 PECOS PAC ID: 1052677606 Enrollment ID: I20250312002725 |
| Provider Name | Henri Coizeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992212534 PECOS PAC ID: 2860820172 Enrollment ID: I20250521003260 |
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